INET RN HESI EXIT - should the nurse identify a priority nursing di...

INET RN HESI EXIT

V5 LATEST 2022-2023

ALL 160 QUESTIONS

AND CORRECT

ANSWERS

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• The nurse is has just admitted a client with severe depression. From which focus

should the nurse identify a priority nursing diagnosis?

• Nutrition
• Elimination
• Activity
• Safety

The correct answer is D: Safety

• While explaining an illness to a 10 year-old, what should the nurse keep in mind about

the cognitive development at this age?

• They are able to make simple association of ideas
• They are able to think logically in organizing facts
• Interpretation of events originate from their own perspective
• Conclusions are based on previous experiences

The correct answer is B: Think logically in organizing facts

• The nurse enters the room as a 3 year-old is having a generalized seizure. Which

intervention should the nurse do first?

• Clear the area of any hazards
• Place the child on the side
• Restrain the child
• Give the prescribed anticonvulsant

The correct answer is B: Place the child on the side

• The nurse is reviewing a depressed client's history from an earlier admission.

Documentation of anhedonia is noted. The nurse understands that this finding refers to

• Reports of difficulty falling and staying asleep
• Expression of persistent suicidal thoughts 2 / 4

• Lack of enjoyment in usual pleasures
• Reduced senses of taste and smell

The correct answer is C: Lack of enjoyment in usual pleasures

• A client has just returned to the medical-surgical unit following a segmental lung

resection. After assessing the client, the first nursing action would be to

• Administer pain medication
• Suction excessive tracheobronchial secretions
• Assist client to turn, deep breathe and cough 3 / 4

• Monitor oxygen saturation

The correct answer is B: Suction excessive tracheobronchial secretions

• While assessing a client in an outpatient facility with a panic disorder, the nurse

completes a thorough health history and physical exam. Which finding is most significant for this client?

• Compulsive behavior
• Sense of impending doom
• Fear of flying
• Predictable episodes

The correct answer is B: Sense of impending doom

• A 16 month-old child has just been admitted to the hospital. As the nurse assigned to

this child enters the hospital room for the first time, the toddler runs to the mother, clings to her and begins to cry. What would be the initial action by the nurse?

• Arrange to change client care assignments
• Explain that this behavior is expected
• Discuss the appropriate use of "time-out"
• Explain that the child needs extra attention

The correct answer is B: Explain that this behavior is expected

• A 15 year-old client with a lengthy confining illness is at risk for altered growth and

development of which task?

• Loss of control
• Insecurity
• Dependence
• Lack of trust

The correct answer is C: Dependence

• Which playroom activities should the nurse organize for a small group of 7 year-old

hospitalized children?

• Sports and games with rules
• Finger paints and water play
• "Dress-up" clothes and props
• Chess and television programs

The correct answer is A: Sports and games with rules

• The nurse is discussing dietary intake with an adolescent who has acne. The most
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